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1205846334

NPI Code Detail

MEDICARE: DR. OMAR MAHMOUD ALBUSTAMI MD

MEDICARE: DR. OMAR MAHMOUD ALBUSTAMI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	M9787	TX
2	207RP1001X	Pulmonary Disease Physician	M9787	TX
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	2009-02093	NC
4	207RP1001X	Pulmonary Disease Physician	2009-02093	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8DD424	OTHER	TX	BCBSTX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205846334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMAR MAHMOUD ALBUSTAMI MD

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	281-724-8180
Fax Number	:	281-724-1861

Provider Business Practice Location Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:	336-522-8999
Fax Number	:	336-522-8998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	02/02/2026

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Directions to “ DR. OMAR MAHMOUD ALBUSTAMI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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